Background: Acute appendicitis is a common surgical
problem that is associated with an acute-phase reaction.
Previous studies have shown that cytokines and acutephase proteins are activated and may serve as indicators for
appendicitis.
Objective: The aim of this study was to evaluate of serum
levels of interleukin-6 (IL-6) in correlation to the severity
to acute appendicitis.
Methods: This is a prospective study from December 2008
to March 2009 of patients who had appendectomy in
Department of Surgery, Al-Kindy Teaching Hospital -
Baghdad/Iraq. Serum for estimating levels of interleukin-6
(IL-6) was taken pre-operatively. Depending on the
macroscopic evidence during the operation and the
histopathological examination of the specimens, the
patients were separated into 3 groups, group one with
negative appendectomy (normal appendix), group two with
non-complicated acute appendicitis (catarrhal,
suppurative), and group three with complicated acute
appendicitis (perforated, gangrenous). The
histopathological results were correlated with IL-6 values
statistically.
Results: A total number of 50 patients were included in
this study, 28 male (56%) and 22 female (44%). The mean
age was 23 year (ranged from 7 to 50). On histological
examination, there were 7 patients (14%) in group one, 29
patients (58%) in group two, and 14 patients (28%) in
group three. Serum IL-6 values gave true negative results
in 6%, true positive results in 82%, false negative results in
4%, and false positive results in 8%. We determined,
therefore, in the present study the sensitivity, specificity,
and accuracy of serum IL-6 were calculated as 95.34%,
42.85%, and 88% respectively.
Conclusion: Laboratory results should be considered to be
integrated within the clinical assessment. If used critically,
IL-6 can provide surgeons with complementary
information in discerning the necessity for urgent
operation
The research has been talked on specific an important notions concerning with the dimensions of effectiveness of good governance and sustainable development inside all Arab states, So that the scientific article reflected the role of investments in various sections of institutional business by draw attention toward different projects about analyzing the whole political reality according to the standard indications of political and social stability on the regional level and international aspects. Therefore, the study resembled scientific contains and the dimensions of political reform and administrative overhauling within governmental system in order to achieve all raw objectives for sustainable development. All international and
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